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Occupational Medicine Advance Access published online on March 3, 2006
Occupational Medicine, doi:10.1093/occmed/kqj038
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© The Author 2006. Published by Oxford University Press on behalf of the Society of Occupational Medicine. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Article

Estimates of work-related cancers in workers exposed to carcinogens

Frédèric Deschamps 1 *, Maryse Barouh 2, Gaëtan Deslee 3, Alain Prevost 2, and Jean-Nicolas Munck 2

1 Department of Occupational Health, Faculté de Médecine, 51 rue Cognacq-Jay, 51100, Reims, France
2 Institut Jean Godinot, Rue du Général Koenig, 51100, Reims, France
3 Hôpital Maison-Blanche, Service Pneumologie, 45, rue Cognacq-Jay, 51092, Reims Cedex-France

* To whom correspondence should be addressed.
Frédèric Deschamps, E-mail: fdeschamps{at}chu-reims.fr


  Abstract

Aim To evaluate the proportion of work-related cancers.

Methods A descriptive study of incident cases of cancer during 3 years in a French county. All people with cancer having a current or past working history were included in the studied population which was recruited from local hospitals. A working history was obtained from each subject by interview. The different organ cancers were linked using well-defined criteria, to specific occupational carcinogenic exposures. The results obtained were compared to international data on work-related cancer incidences.

Results A total of 2009 cases were included and 3.18% (64) met the criteria for work-related cancer as defined. Asbestos and polycyclic hydrocarbons were the main occupational carcinogens identified. Construction and fabricated metal products sectors were linked to almost two-thirds of work-related cancers. The percentage of the studied population with attributable risk for occupational cancer was relatively close to international data (mean 4%) and organ cancer distribution percentages did not vary significantly from international published validated data.

Conclusion Work-related cancers tend to be concentrated in relatively small groups of people among whom the risk of developing the disease may be quite large. The detection of occupational hazards should therefore have a higher priority in any programme of cancer prevention. Well-defined criteria to identify specifically cancers with an occupational origin should be specified by the scientific international community.

Keywords: Assessment; work-related cancer.
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